Question 23
Type: MCMA
The nurse is always intimidated when asking a physician to clarify orders. Which statements should the nurse use
to help counteract this feeling?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “I’m sorry, Doctor, but I need for you to repeat the dosage on that medication order.”
2. “Doctor, what was the dosage on that medication you just ordered, and do you want the client to get up in the
chair today?”
3. “How often did you want the furosemide given?”
4. “Uh, can you tell me if you need for this client to be NPO today?”
5. “Doctor, what rate did you want for the IV?”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-5: Improve your collaborative communication skills.
Question 24
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
A nurse manager approaches the nursing supervisor with a request for approval to incorporate 12-hour shifts into
scheduling. The supervisor denies the request, stating this staffing pattern was used previously with poor
outcomes. Which responses by the nurse manager may positively influence the supervisor?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “I agree it was not effective years ago, but other units have now had success with it.”
2. “What were your specific concerns about the 12-hour shifts?”
3. “I think it is unfair to refuse my unit this opportunity based on the past.”
4. “Why are you always so opposed to change on my unit?”
5. “If we don’t offer alternative staffing patterns, we aren’t going to be able to attract new hires.”
A nurse manager is aware that there is a strong “grapevine” communication system on the unit. The manager
elects to use this grapevine to distribute information about an upcoming change in unit policy. In making this
decision, the manager should consider which possibilities?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. The information may be rapidly disseminated.
2. The information may be altered as it moves across the grapevine.
3. Most people try to spread information accurately.
4. Most people do not pay any attention to the grapevine.
5. Professional nurses do not participate in grapevine communication.
2. A staff nurse the manager has worked with for 25 years
3. A newly licensed nurse who is hesitant to address the manager
4. A physician discussing prognosis with the client and family
Rationale 2: Simply seeing an empty breakfast tray does not guarantee that the instructions were carried out
correctly.
Rationale 3: Checking with the clients does not allow for the nurse to amend the instruction or correct the actions
being taken.
Rationale 4: Waiting until the end of the shift does not allow the nurse to amend the instruction or correct actions
being taken.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 9:4: Explain how communication strategies vary according to the situation and those
involved.
Question 28
Type: MCMA
The nurse manager has asked that another staff nurse position be funded for the unit. The supervisor denies the
request. Which statements by the manager are examples of negative assertion?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “I know I haven’t been too careful in keeping personnel costs low, but we are really going to need another
position.”
2. “I don’t see why another position cannot be funded. We have met our budget each year for the last 3 years.”
3. “I realize that my staff is not always positive about organizational changes, but having this extra staff member
might reduce some of their stress.”
4. “I can understand what you said about budget being tight, but we still need the position.”
5. “Do you not understand how hard my nurses are working?”
Rationale 3: Negative assertion is accepting some of the blame.
Rationale 4: This is an example of fogging.
Rationale 5: This is a confrontational statement and should be avoided.
Global Rationale:
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 9-4: Explain how communication strategies vary according to the situation and those
involved.
Question 29
Type: MCMA
The nursing supervisor is planning an education session on collaborative communication between nurses and
physicians. Which topics should be on this agenda?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Interdisciplinary respect
2. Understanding the role of the physician
3. Understanding the role of the nurse
4. Communication across disciplines
5. Active listening skills
Rationale 5: Listening is an essential part of communication.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9-5: Improve your collaborative communication skills.
Question 30
Type: MCSA
The nurse has a concern regarding the quality of care being provided in the hospital. What should the nurse
consider first before communicating this concern?
1. The medium of the message
2. The relationship between the nurse and the receiver of the message
3. The timing of the message
4. What to include in the message
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 9-6: Develop a plan to enhance your communication skills.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.